ch 8

Question 1

inspection

Answer 1

just looking
good lighting
remove gown for adequate exposure

Question 2

palpation

Answer 2

sense of touch
assess: texture, temp, moisture, organ size and location, swelling, tenderness, presence of masses
should be performed slow and systematic
start with light and proceed to deep
walking fingers/circles with fingertips
use back of hand for temp checks
tapping person’s skin with short sharp strokes to assess underlying structures

Question 3

percussion

Answer 3

stationary hand
hyperextend middle finger
place distal joint and tip firmly against middle finger to assess for sounds

Question 4

characteristics of sounds

Answer 4

amplitude - intensity
pitch - frequency
quality - timbre
duration - length of time
strucure with more air produces louder, deeper sound compared with denser structure

Question 5

auscultation

Answer 5

listening to sounds produced by body
does not amplify sound, just blocks other sounds out
bell - small side for soft pitched sounds
diaphragm - big side for higher pitched sound (heart, lung, belly)
don’t listen through pt gown or clothing
don’t listen over body hair

Question 6

standard equipment

Answer 6

have all necessary equipment (vs, stethoscope, BP cuff, etc.)
hand hygiene, gloves

Question 7

start to fin

Answer 7

hand hygiene
measurement and vs
have pt change into gown
hand hygiene
provide explanations
summarize